Verification Examiner

San Diego, CA 92121

Employment Type: Contract Job Category: Customer Service Job Number: 46470 Pay Rate: 12

Job Summary: The primary function of this position is to complete verification of practitioner credentials according to department standards, accreditation standards, regulatory requirements, and health plan expectations.

Responsibilities:

  • Responsible to obtain information to verify new applicants and participating providers according to department standards:
  • Verifies with the appropriate agencies that the applicant has a current and valid license.
  • Communicates with practitioners by mail, fax, or phone to answer questions and obtain information.
  • Verifies whether an applicant has full or limited/partial clinical privileges by contacting the facility.
  • Maintains confidentiality of all practitioner data, and related issues.
  • Completes assigned work within predetermined timelines.
  • Provides teamwork and assistance to all department staff, including participating in special projects and related credentialing assignments.

Requirements:

  • High School diploma or higher education required
  • Minimum of 30 words per minute
  • Excellent customer service skills, with experience making outbound calls and meeting expectations for productivity and accuracy required.
  • Must pass a 7 year criminal background check and pass drug screen.

Schedule: Monday to Friday

Pay: $12

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